Individual provider Active NPI

Heidi Kistler, M.D.

  • Family Medicine Physician
  • Lancaster, PA
National Provider Identifier
1437215860
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD431031 Issued in PA
Practice address
694 Good Dr
Suite 11
Lancaster, PA 17601-2433
Phone
(717) 544-3737
Fax
(717) 544-3739
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD431031 PA Primary

Addresses

Primary practice location

694 Good Dr
Suite 11
Lancaster, PA 17601-2433

Mailing address

694 Good Dr
Suite 11
Lancaster, PA 17601-2433
Phone (717) 544-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070618000067 PA Practitioner - Family Practice 6800995879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

317 Chestnut St
Quarryville, PA 17566-1184
Phone (717) 544-3555

540 N Duke St 3Rd Floor
Penn Med Lanc Gen H. Phys Fam Med Downtown
Lancaster, PA 17602-2374
Phone (717) 544-4950

554 N Duke St FL
3 Penn Med Lanc Gen Health Phys Comprehensi
Lancaster, PA 17602-2250
Phone (717) 554-4943

555 N Duke St
Lancaster, PA 17602-2250

690 Good Dr
Suite 315
Lancaster, PA 17601-2433
Phone (717) 544-3555

694 Good Dr
Suite 11
Lancaster, PA 17601-2433
Phone (717) 544-0040

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital Current Accepting new patients
Lancaster General Hospital Past Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

540 N Duke St
Fl 3
Lancaster, PA 17602
Phone (717) 544-4950

Interoperability endpoints

  • Direct secure messaging: hkistlermd1488@direct-lghealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1437215860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 GOOD DR",
            "address_2": "SUITE 11",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012433",
            "telephone_number": "717-544-3737",
            "fax_number": "717-544-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 GOOD DR",
            "address_2": "SUITE 11",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012433",
            "telephone_number": "717-544-3737",
            "fax_number": "717-544-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTLER",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD431031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.